Provider Demographics
NPI:1568182533
Name:NAWAZ, SAIRA (DDS)
Entity Type:Individual
Prefix:
First Name:SAIRA
Middle Name:
Last Name:NAWAZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 S GREENPARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2237
Mailing Address - Country:US
Mailing Address - Phone:713-820-7903
Mailing Address - Fax:
Practice Address - Street 1:3222 S GREENPARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2237
Practice Address - Country:US
Practice Address - Phone:713-820-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38933122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist